NPIMap

Organization Active NPI

Sacramento Family Medical Clinic

  • General Practice Physician
  • Elk Grove, CA
National Provider Identifier
1962647529
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10-00008104 Issued in CA
Legal business name
SACRAMENTO FAMILY MEDICAL CLINIC
Practice address
9717 Elk Grove Florin Rd Ste a
Elk Grove, CA 95624-2262
Phone
(916) 714-7400
Fax
(916) 714-7410
NPI assigned
Dec 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gilbert Simon, M.D
Title
Owner
Phone
(916) 563-7230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 10-00008104 CA Primary

Addresses

Primary practice location

9717 Elk Grove Florin Rd Ste a
Elk Grove, CA 95624-2262

Mailing address

9717 Elk Grove Florin Rd Ste a
Elk Grove, CA 95624-2262
Phone (916) 714-7400

National Provider Directory

National Provider Directory
Tax ID family
Sacramento Family Medical Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1962647529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 ELK GROVE FLORIN RD STE A",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242262",
            "telephone_number": "916-714-7400",
            "fax_number": "916-714-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 ELK GROVE FLORIN RD STE A",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242262",
            "telephone_number": "916-714-7400",
            "fax_number": "916-714-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-563-7230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "10-00008104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.